Average Medicaid Durable Medical Equipment (DME) Payments in San Jose, CA: $36.53
Avg. Paid
$36.53
Range
$0.00 – $170.95
Total Claims
93,633
Providers
9
Typical Payment Range
Typical Medicaid Durable Medical Equipment (DME) payments fall between $23.43 and $52.57 per claim (median: $34.48). The top 10% of payments exceed $74.77.
Based on per-provider averages across all Medicaid claims in this category.
Durable medical equipment includes items like wheelchairs, walkers, hospital beds, oxygen equipment, and other devices prescribed for home use.
Understanding these costs
The amounts shown are Medicaid reimbursement rates — what state Medicaid programs paid providers per claim. Medicaid typically pays well below private insurance rates and out-of-pocket prices. Use this data to compare relative costs between providers, not as a price estimate for privately insured or self-pay patients.
Providers Offering Durable Medical Equipment (DME) in San Jose, CA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Brannons Rentals And Sales, Inc.
2052 Lincoln Avenue |
$16.73 | 47,210 | 46,818 |
|
Hometown Medical Supplies Llc
1274 Alma Ct |
$23.34 | 20,010 | 19,872 |
|
My Best Homecare
2526 Qume Dr Ste 19 |
$73.90 | 18,897 | 18,385 |
|
Sleep Well Cpap Services, Llc
75 N Bascom Ave Ste 120 |
$170.95 | 4,046 | 4,042 |
|
Aays Rents & Sells,Inc
598 E Santa Clara St Ste 100 |
$20.29 | 1,270 | 1,270 |
|
Valley Oxygen Llc
1370 Tully Rd Ste 507 |
$37.33 | 1,120 | 1,117 |
|
Tiassa Lena Powell
250 Hospital Pkwy |
$0.00 | 559 | 559 |
|
Physicians Medical Group Of San Jose Inc
2304 Zanker Road |
$0.00 | 470 | 446 |
|
Guardian Sleep Clinic, Llc
315 Piercy Rd |
$161.78 | 51 | 51 |
What to Expect: Durable Medical Equipment (DME)
Your doctor prescribes DME based on your medical needs. A DME supplier will deliver the equipment to your home and provide instruction on its use. Some equipment is purchased while other items are rented. Coverage and costs vary based on the specific items and your insurance plan. Maintenance and repairs may be covered.
Cost Components
National average Medicaid payment per billing code. Individual rates vary by provider and state.
| Code | Description | Avg. Paid | Claims | Providers |
|---|---|---|---|---|
| E1390 | Oxygen concentrator | $50.11 | 37,800,973 | 4,544 |
| E0431 | Portable gaseous 02 | $12.11 | 19,275,377 | 3,584 |
| E0260 | Hosp bed semi-electr w/ matt | $28.71 | 3,307,380 | 1,909 |
| E0143 | Walker folding wheeled w/o s | $35.15 | 1,938,570 | 1,529 |
| E0114 | Crutch underarm pair no wood | $29.53 | 1,513,534 | 729 |
| E0470 | Rad w/o backup non-inv intfc | $91.06 | 1,396,444 | 1,333 |
| E0443 | Portable 02 contents, gas | $32.17 | 618,081 | 529 |
| E0163 | Commode chair with fixed arm | $32.80 | 481,207 | 568 |
| E0434 | Portable liquid 02 | $24.75 | 397,221 | 111 |
| E0295 | Hosp bed semi-elect w/o matt | $41.43 | 242,333 | 344 |
| E0471 | Rad w/backup non inv intrfc | $216.63 | 224,137 | 275 |
| E0424 | Stationary compressed gas 02 | $95.28 | 211,299 | 137 |
| E0442 | Stationary o2 contents, liq | $38.75 | 191,352 | 56 |
| E0100 | Cane adjust/fixed with tip | $9.77 | 176,614 | 248 |
| E0441 | Stationary o2 contents, gas | $49.26 | 154,595 | 69 |
| E0439 | Stationary liquid 02 | $65.01 | 146,074 | 77 |
| E0165 | Commode chair with detacharm | $15.77 | 107,253 | 177 |
| E0250 | Hosp bed fixed ht w/ mattres | $15.24 | 105,445 | 128 |
| E0255 | Hospital bed var ht w/ mattr | $25.92 | 57,426 | 68 |
| E0105 | Cane adjust/fixed quad/3 pro | $21.71 | 41,422 | 99 |
| E0135 | Walker folding adjust/fixed | $29.27 | 29,788 | 74 |
| E0140 | Walker w trunk support | $2.97 | 20,933 | 6 |
| E0110 | Crutch forearm pair | $26.25 | 4,151 | 12 |
| E0251 | Hosp bed fixd ht w/o mattres | $9.09 | 3,815 | 4 |
| E0116 | Crutch underarm each no wood | $14.93 | 328 | 3 |
| E0148 | Heavyduty walker no wheels | $29.60 | 118 | 5 |
| E0130 | Walker rigid adjust/fixed ht | $0.00 | 39 | 1 |
| E1391 | Oxygen concentrator, dual | $122.47 | 38 | 2 |
| E0290 | Hosp bed fx ht w/o rails w/m | — | — | — |
These are national Medicaid averages for each billing code. Actual amounts vary by state, provider, and complexity.
Frequently Asked Questions
How much does a Durable Medical Equipment (DME) cost in San Jose, CA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Durable Medical Equipment (DME) in San Jose, CA is $36.53 per claim, based on 93,633 claims from 9 providers. Typical payments fall between $23.43 and $52.57. Note: Medicaid rates are typically much lower than private insurance or self-pay prices.
How many providers offer Durable Medical Equipment (DME) in San Jose, CA?
There are 9 Medicaid providers offering Durable Medical Equipment (DME) related services in San Jose, CA according to public payment data.
What is the price range for Durable Medical Equipment (DME) in San Jose, CA?
Medicaid reimbursement for Durable Medical Equipment (DME) in San Jose, CA ranges from $0.00 to $170.95 per claim, with an average of $36.53. Private insurance and self-pay costs are typically higher than these Medicaid rates.
Durable Medical Equipment (DME) in Other Cities
Phoenix, AZ
Avg $22.71
1,009,219 claims · 16 providers
Indianapolis, IN
Avg $54.50
970,590 claims · 15 providers
City Of Industry, CA
Avg $54.22
938,819 claims · 1 providers
Bronx, NY
Avg $32.15
781,876 claims · 11 providers
Albuquerque, NM
Avg $52.38
763,105 claims · 16 providers
Glendale, CA
Avg $32.28
750,080 claims · 9 providers
Colorado Springs, CO
Avg $41.85
705,123 claims · 18 providers
Denver, CO
Avg $47.17
645,281 claims · 11 providers
Other Procedures in San Jose, CA
Office Visit
Avg $17.76
4,087,517 claims
Blood Work & Lab Tests
Avg $2.57
2,345,819 claims
Dental Cleaning & Exam
Avg $52.74
1,100,494 claims
Case Management Services
Avg $220.56
998,173 claims
Behavioral & Mental Health Therapy
Avg $198.51
836,218 claims
Vaccines & Immunizations
Avg $3.93
755,787 claims
X-Ray
Avg $7.17
627,443 claims
Substance Abuse Treatment
Avg $69.65
603,596 claims